2015
DOI: 10.3892/etm.2015.2552
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Factors affecting sphincter-preserving resection treatment for patients with low rectal cancer

Abstract: The aim of the present study was to identify the factors associated with the use of sphincter-preserving resection (SPR) surgery for the treatment of low rectal cancer. A total of 330 patients with histopathologically confirmed low rectal cancer were divided into two groups, namely the abdominoperineal resection (APR) and sphincter-preserving (SP) groups. For SPR factor analysis, the χ test was performed as the univariate analysis, while a logistic regression test was conducted as the multivariate analysis. Of… Show more

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Cited by 12 publications
(16 citation statements)
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“…At present, there are four types of anus-preserving operation for ultra-low rectal cancer: ultra-low anterior resection (Dixon operation), intersphincter resection (ISR operation) [27], coloanal anastomosis (Parks operation), and local transanal resection. Among them, ISR [28] is a relatively mature anus-preserving operation, but because it needs to remove part or all of the internal anal sphincter, the postoperative anal function of patients is not good [29]. Therefore, the research on other more effective anus-preserving methods has never stopped.…”
Section: Discussionmentioning
confidence: 99%
“…At present, there are four types of anus-preserving operation for ultra-low rectal cancer: ultra-low anterior resection (Dixon operation), intersphincter resection (ISR operation) [27], coloanal anastomosis (Parks operation), and local transanal resection. Among them, ISR [28] is a relatively mature anus-preserving operation, but because it needs to remove part or all of the internal anal sphincter, the postoperative anal function of patients is not good [29]. Therefore, the research on other more effective anus-preserving methods has never stopped.…”
Section: Discussionmentioning
confidence: 99%
“…The distance of the tumor to the anal verge is an important parameter predictive for sphincterpreserving surgery, and this has been extensively studied [5,[18][19][20][21][22]. Tumors staged as T2-3, N0 in which a distal bowel clearance >1 cm does not involve a major part of the external anal sphincter, a TME and intersphincteric distal dissection with hand-sewn colo-anal anastomosis is recommended [23][24][25].…”
Section: Discussionmentioning
confidence: 99%
“…Since the tumor localization is an independent predictive parameter for the probability of a sphincterpreserving operation, we limited our evaluation to patients with low rectal cancer [5,[17][18][19][20][21]. In this localization the available data on other predictive parameters is still very sparse.…”
Section: Discussionmentioning
confidence: 99%